| Wellspring Center Llc | |
|
18c S Centre St Merchantville NJ 08109-2203 | |
| (856) 662-1660 | |
| (856) 662-6110 |
| Full Name | Wellspring Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18c S Centre St, Merchantville, New Jersey |
| Authorized Official Name and Position | Paula L Ryan (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8566621660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Center Llc 18c S Centre St Merchantville NJ 08109-2203 Ph: (856) 662-1660 | Wellspring Center Llc 18c S Centre St Merchantville NJ 08109-2203 Ph: (856) 662-1660 |
| NPI Number | 1194868737 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194868737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00432100 (New Jersey) | Primary |
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